Each recipient of the grant is awarded a COMPLIMENTARY REGISTRATION TO THE ISPOR EVENT inclusive of SHORT COURSES (up to 4 courses) – registration form to be submitted to ISPOR for processing prior to the Meeting/Congress/Conference. Also inclusive is round trip coach class travel, hotel, meals, and conveyance up to $1300 USD for Annual Meetings and European Congresses and up to $1100 USD for Latin America and Asia-Pacific Conferences. Recipients will be responsible for booking their own hotel and flight. ISPOR will not release funds prior to the event to cover these expenses. Reimbursement form, including all required receipts, must be submitted within 30 days after event ends. Note: Note: All non-US $ reimbursements will be made via bank transfer.
*required information
STUDENT TRAVEL GRANT APPLICATION
* Select ISPOR event you want to apply for    
*Member ID#:   (Membership verified)  
*First Name:     *Last Name:  
*University:  
*Primary Address:  
 Address 2:
*City:   
  State:    Zip:  
*Country:  
*Phone:    Fax:  
*Email:    
*Have you received an ISPOR travel grant to a previous ISPOR Meeting/Congress/Conference?     
If yes, which meeting (including the year):    
*Statement of Intent:  How will attending the ISPOR event you have selected benefit your academic/professional career? (up to 300 words)
 
*How have you contributed to the ISPOR Student Network?
 
*Does your University currently have a Student Chapter?   
If not, are you interested in starting a student chapter at your University?  
How to form »
If so, how would you initiate a chapter within your University?
*Have you submitted an abstract for selected ISPOR event?     
 Has your abstract been accepted?  
Comments:

I understand that the grant includes complimentary registration and short courses and up to $1300 USD for Annual Meetings and European Congresses and $1100 USD for Latin America and Asia-Pacific Conferences in travel expenses that will be reimbursed after the ISPOR event. Expenses exceeding this amount will be my responsibility. Upon selection, I agree to submit all receipts within 30 days after the meeting to follow the ISPOR Travel and Reimbursement Policy.

*Signature (typing your name is your signature)    
 

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